Individual
BROOKE DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S MERIDIAN ST, WINCHESTER, IN 47394-1809
(937) 564-0708
Mailing address
108 S MERIDIAN ST, WINCHESTER, IN 47394-1809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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